easily citizenship getable countries | आसान नागरिकता वाले देश | आसानी से बनिए इन देशों के नागरिक
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pappu jokes part 3 || funny jokes || comedy jokes || badmash pappu || santa banta jokes
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संता बंता जोक्स || santa banta jokes || santa banta || santa banta in hindi || hindi jokes
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foods to prevent bladder cancer || bladder cancer || cancer || bladder infection || urinary bladder cancer
Bladder Cancer Symptoms & Signs
Blood in the Urine
◦Blood in the urine is medically referred to as hematuria.
◦ Hematuria may be visible with the naked eye (gross hematuria) or identified on microscopic urinalysis (microscopic hematuria).
◦ Hematuria may be caused by many conditions, and not all causes of hematuria are serious.
◦ Strenuous exercise and certain medications can cause hematuria.
◦ Kidney stones, urinary tract infections, kidney disease, blood diseases, and some cancers are all known causes of blood in the urine.
The bladder is a hollow organ in the lower abdomen (pelvis). It collects and stores urine produced by the kidneys.
•The bladder is connected to the kidneys by a tube from each kidney called a ureter.
•When the bladder reaches its capacity of urine, the bladder wall contracts, although adults have voluntary control over the timing of this contraction. At the same time, a urinary control muscle (sphincter) in the urethra relaxes. The urine is then expelled from the bladder.
•The urine flows through a narrow tube called the urethra and leaves the body. This process is called urination, or micturition.
Cancer occurs when normal cells undergo a degenerative, dangerous, or what is called a malignant change or transformation causing them to grow abnormally and multiply without normal controls. A mass of cancerous cells is called a malignant tumor or cancer. The cancerous cells are capable of spreading to other areas of the body through the process of metastasis. A cancer can become destructive locally to the tissues adjacent to where it arises. Cancer cells can also metastasize. Metastasis means that cells spread through the tissue fluid's circulation called the lymphatic system or through the bloodstream where they can then stop off in other tissues or organs where they may grow as metastases or metastatic deposits and can become destructive in these new locations. The term cancer is further described by the tissue in which it has arisen. For example: bladder cancer is a different disease than lung cancer. If a bladder cancer cell metastasizes -- that is, spreads to the lungs through the bloodstream it is still called, and is treated as metastatic bladder cancer, not as lung cancer.
Cells which transform in a less dangerous fashion may still multiply and form masses or tumors. These are called benign tumors. They do not metastasize.
Of the different types of cells that form the bladder, the cells lining the inside of the bladder wall are those most likely to develop cancer. Any of three different cell types can become cancerous. The resulting cancers are named after the cell types.
•Urothelial carcinoma (transitional cell carcinoma): This is by far the most common type of bladder cancer in the United States. The so-called transitional cells are normal cells that form the innermost lining of the bladder wall, the urothelium. In transitional cell carcinoma, these normal lining cells undergo changes that lead to the uncontrolled cell growth characteristic of cancer.
•Squamous cell carcinoma: These cancers are comprised of cells that typically form as a result of bladder inflammation or irritation that has taken place for many months or years. These cells grow in flat masses of interconnected cells.
•Adenocarcinoma: These cancers form from cells that make up glands. Glands are specialized structures that produce and release fluids such as mucus.
•In the United States, urothelial carcinomas account for more than 90% of all bladder cancers. Squamous cell carcinomas make up 3%-8%, and adenocarcinomas make up 1%-2%.
•Only transitional cells normally line the rest of the urinary tract. The kidney's internal collecting system, the ureters (narrow tubes that carry urine from the kidneys to the bladder), the bladder, and the urethra are lined with these cells. Thus, individuals with transitional cell cancers of the bladder are at risk for transitional cell cancers of the kidneys/ureter (upper urinary tract).
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santa banta jokes || pappu raju jokes || funny jokes || cartoon jokes || sunday's funday
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चमत्कारी मंदिर | mysterious temple | achleshwar mahadev darshan dholpur | अचलेश्वर महादेव धौलपुर मंदिर दर्शन
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amibiosis colitis || अमीबा रुग्णता || अल्सरेटिव कोलाइटिस || ulcerative colitis
Amebic colitis, also known as amebiasis, is a gastrointestinal disorder caused by invasion of the intestine by the protozoan parasite, Entamoeba histolytica. Although primarily a disease found in underdeveloped countries, this condition may exist in patients who have recently traveled outside the United States. Obtaining an accurate history and testing are crucial to correctly diagnosing and treating amebic colitis. This paper will examine the epidemiology, clinical presentation, and differential diagnoses of amebic colitis as well as recommend a standardized treatment plan based on current research.
Definition and Epidemiology
Amebic colitis, also known as amebiasis, is a protozoal disease affecting the large intestine caused by E. histolytica. Annually, 40 to 50 million symptomatic cases are reported across the globe, with 40,000 to 100,000 deaths each year, making this condition the second leading parasitic cause of death in the world. Amebic colitis case fatality ranges from 1.9 - 9.1%; fulminant amebic colitis has a mortality rate of greater than 40%. A commensal organism to E. histolytica is Entamoeba dispar, which is similar in morphology to E. histolytica, but does not produce signs or symptoms of dysentery.
E. histolytica can be found worldwide. Africa, Central and South America, and Asia are areas where the disease is endemic. Contamination of water stores in countries with poor sanitation processes can lead to the spread of the protozoan to humans. Water contaminated with feces allows for the fecal-oral transmission of the disease. Consuming food prepared by one who has not washed his or her hands after defecation also can lead to transmission of E. histolytica. Oral and anal sex, particularly between men, has also been implicated in the spread of the disease.
Amebiasis affects both adults and children equally. In the U.S., most cases are found in people who have recently traveled to developing countries where food and water sanitation are less sophisticated. Once infected, an individual can easily pass the protozoan on to other family members in the household.
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GUPTESHWAR MAHADEV DARSHAN | गुप्तेश्वर महादेव दर्शन | शिवलिंग दर्शन | shivling darshan
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Famous Ganesh Temples of India | Top Ganesh Temples in India | भारत के प्रसिद्ध गणेश मंदिर
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Hindi Jokes | Pappu jokes | jokes in hindi | chutkule | jokes | hindi comedy jokes
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जानिए तिरुपति के लड्डुओं का सच || तिरुपति बालाजी के लड्डू || लड्डुओं की कहानी || लड्डुओं का इतिहास
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इस सुरंग में है इसे बनाने वाले का भूत | बड़ोग सुरंग | barog tunnel | tunnel no. 33
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cartoon jokes | santa banta comedy jokes | raju pappu jokes | funny comedy cartoons | pappu jokes | pappu raju jokes
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जानिए शुभ-अशुभ संकेतों के बारे में | क्या होते है शुभ-अशुभ लक्षण | good or bad signals | right or wrong signals
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ballar || balhar ki sabzi || indian vegetable || sem ki sabji || balhar ki sabji || Friday's food
lima beans have a delicate flavor that complements a wide variety of dishes. Although fresh lima beans are often difficult to find, they are worth looking for in the summer and fall when they are in season. Dried and canned lima beans are available throughout the year. The pod of the lima bean is flat, oblong and slightly curved, averaging about three inches in length. Within the pod are the two to four flat kidney-shaped seeds that we call lima beans. The seeds are generally cream or green in color, although certain varieties feature colors such as white, red, purple, brown or black.
Lima beans are an excellent source of the trace mineral, molybdenum, an integral component of the enzyme sulfite oxidase, which is responsible for detoxifying sulfites. Sulfites are a type of preservative commonly added to prepared foods like delicatessen salads and salad bars. Persons who are sensitive to sulfites in these foods may experience rapid heartbeat, headache or disorientation if sulfites are unwittingly consumed. If you have ever reacted to sulfites, it may be because your molybdenum stores are insufficient to detoxify them. Lima beans are a very good source of the trace mineral manganese, which is an essential cofactor in a number of enzymes important in energy production and antioxidant defenses. For example, the key oxidative enzyme superoxide dismutase, which disarms free radicals produced within the mitochondria (the energy production factories within our cells), requires manganese. In addition to providing slow burning complex carbohydrates, lima beans can increase your energy by helping to replenish your iron stores. A cup of lima beans contains 24.9% of the daily value for this important mineral. Particularly for menstruating women, who are more at risk for iron deficiency, adding to their iron stores with lima beans is a good idea—especially because, unlike red meat, another source of iron, lima beans are low in calories and virtually fat-free. Iron is an integral component of hemoglobin, which transports oxygen from the lungs to all body cells, and is also part of key enzyme systems for energy production and metabolism. And remember: If you're pregnant or lactating, your needs for iron increase. Growing children and adolescents also have increased needs for iron.
In a study that examined food intake patterns and risk of death from coronary heart disease, researchers followed more than 16,000 middle-aged men in the U.S., Finland, The Netherlands, Italy, former Yugoslavia, Greece and Japan for 25 years. Typical food patterns were: higher consumption of dairy products in Northern Europe; higher consumption of meat in the U.S.; higher consumption of vegetables, legumes, fish, and wine in Southern Europe; and higher consumption of cereals, soy products, and fish in Japan. When researchers analyzed this data in relation to the risk of death from heart disease, they found that higher consumption of legumes was associated with a whopping 82% reduction in risk!!
A study published in the Archives of Internal Medicine confirms that eating high fiber foods, such as lima beans, helps prevent heart disease. Almost 10,000 American adults participated in this study and were followed for 19 years. People eating the most fiber, 21 grams per day, had 12% less coronary heart disease (CHD) and 11% less cardiovascular disease (CVD) compared to those eating the least, 5 grams daily. Those eating the most water-soluble dietary fiber fared even better with a 15% reduction in risk of CHD and a 10% risk reduction in CVD. Lima beans are a legume, as are split peas and lentils. lima beans are abundant mostly along the California coast. Perhaps because of their origin in South American climes, lima beans require a minimum soil temperature of 65 degrees in order to germinate.
.Lima beans contain 39% of the daily food value for folate, for DNA synthesis and cell division. They also contain 20% of the daily value of thiamin (vitamin B1), and 15% of vitamin B6. Other nutrients include pantothenic acid, riboflavin, and niacin, most of which function as co-enzymes to metabolize carbohydrates, protein, and fats in your system.
The fiber in lima beans provides 53% of your body’s daily requirement - important not only as 1) a laxative but 2) to protect the colon and fight cancer by decreasing the amount of time toxic substances stay in the colon, and 3) reduces blood cholesterol levels by decreasing re-absorption in the colon.
The mineral content in lima beans provides almost half of what you need per day in manganese, along with plentiful amounts of iron, magnesium, potassium, phosphorus, and valuable antioxidants.
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honey + milk health benefits | दूध में शहद मिलकर पीने के अदभुत फायदे | दूध + शहद बनायें सेहत | benefits of honey with milk
Drinking milk with honey is delicious. And believe it or not, it’s also a good option to satisfy your sweet tooth and gives you something warm before bed.
This drink has many benefits, and we want to share them with you today.
Honey has been used as a natural remedy for many diseases for a long time. This is because of its antibacterial, antioxidant, and antifungal properties.
It also has a calming and anti-inflammatory effect. This helps to relieve respiratory problems.
Milk has been traditionally chosen above other drinks because of its vitamins A, B-complex, and D as well as minerals like calcium. Also, it’s rich in animal proteins and lactic acid.
Because of this, milk with honey can give unique benefits to your health.
1. It protects your skin
Milk and honey have cleansing and antimicrobial properties. These work perfectly together when you combine them.
In reality, many beauty products use both of these as main ingredients. Mixing them can give you healthy, radiant skin.
Drinking milk and honey helps your skin from the inside.
If you prefer, you can even take milk and honey bath. Here’s how:
•Mix equal parts milk and honey with bath water.
•Soak your body in the bath for as long as you would usually bathe.
Your skin will be fed from outside by absorbing the bath’s properties.
2. It helps your digestion
Honey has prebiotic properties. This means that it stimulates the growth and development of good bacteria. These are a big help to your intestines and your digestive system.
On the other hand, prebiotics have a stimulating effect on bifidobacteriium. These are a kind of probiotic that are found in milk.
In addition, the carbohydrates and oligosaccharides in honey promote good bacteria. These compounds keep the bacteria healthy and functioning in your digestive tract.
All of this translates to the elimination of:
•Constipation
•Cramps
•Bloating
•Harmful bacteria
3. It increases your resistance
Drinking milk with honey every morning significantly increases your body’s resistance.
This is because milk has proteins and honey has carbohydrates. These are both necessary for stimulating your metabolism.
Drinking milk with honey every day is a great help, regardless of age.
Thanks to its enzymes, the animal protein found in milk breaks down into basic amino acids. These are then changed into proteins your body can use.
The surplus material from this process is oxidized as usable energy.
4. It helps with bone health
Honey has an incredible ability to act as a nutrient transporter. It can take nutrients from food to every part of your body, especially calcium. This helps your body to absorb it much more easily.
Milk is a rich source of calcium. By drinking it with honey, you give your body the nutrients it needs to take care of your bone health.
Also, it helps you to optimize calcium absorption. This effectively prevents diseases like osteoporosis and joint inflammation as you age.
5. It fights insomnia
Drinking warm milk with honey before sleeping is one of the most well-known ways to get to sleep when insomnia attacks.
Take a look at the ingredients on an individual basis. Both honey and milk by themselves are good for doing this. But together, their effect intensifies.
•Honey is a rare sweet ingredient. It allows you to have more control over the insulin your body produces. This makes your brain release more tryptophan. This chemical is then converted into serotonin, the hormone that helps you sleep.
•Warm milk makes your stomach feel more comfortable. This is thanks to its temperature. You should drink it before going to bed.
6. It has anti-aging properties
The combination of milk and honey gives the rest of your body lots of benefits, too. This is because this drink makes your body more agile and youthful.
The antioxidants in the combination attack free radicals. These have a major effect on all of your body systems. They degrade your skin, produce both wrinkles and age spots, and degrade the overall function of your body.
If you want to look and feel as young as possible as long as possible, using this combination of milk and honey is very helpful.
7. It has anti-bacterial properties
Drinking milk with honey has very beneficial effects on some bacteria.
When you drink warm milk and honey, you reduce constipation, gas, and other intestinal problems. Besides that, you also help your respiratory system if you have a cold or a cough.
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Tuesday's Temple || Siddh Ganesh Temple || सीहोर गणेश मंदिर || चिंतामण सिद्ध गणेश मंदिर सीहोर (म.प्र.)
In India there are four naturally originated Swayambhu (self-manifested) Chintaman Ganesh Temple .
1. Ranthambore (Sawai Madhopur-Rajasthan)
2. Siddhpur (Sehore-Madhya Pradesh)
3. Awantika (Ujjain-Madhya Pradesh)
4. Theur, (Theur Near Pune- Maharastra)
Sehore is famous for Chintaman Ganesh Temple. This lord Ganesh Temple is very old and historical place in the time of Maharaja Vikrmaditya. Sehore was commonly known as Siddhpur in the kingdom of Vikramaditya. Chintaman Ganesh Temple is situated in the west-north of Sehore.
The temple was later constructed in 155 BC. Half of the idol still under the ground in this Ganesh temple. Baji Rav Peshwan first got the assemble hall constructed and reinaugrated the temple. It is situated on the angles of Shree Yantra. . Sehore was previously known as Siddhpur which is found in holy books (Purans)..
Sehore is 39 Km away from state capital Bhopal towards south and on Bhopal-Indore highway. Its height from the sea level is 1500 ft. to 2000 ft. It is also connected to Western Railway from Bhopal to Ratlam. Sehore stands in the foothills of the Vindhyachal Range in the middle of Malwa region.
About 2000 years ago, The king of Ujjayani (Avantika) used to worship the lord Chintaman Ganesh in the fort of Ranthambore every Wednesday. One day the lord Ganesh appeared in a king's dream and said, "I will appear in the form of Lotus flower on Shiva-Parvati confluence in Sevan river which is 10 to 15 Km in the west from the temple. Collect that flower and bring it with you" As instructed the king collected the flower and left for Ujjayni. On the way he heard the divine voice, "Oh king you have only one night to take me anywhere you want as the sun will rise then i'll turn into an idol and stay right there"
There the king proceeded for a little while only then the wheel of his horse carriage stuck in the ground. He tried to take out the wheel from the ground but failed and the carriage was damaged. He counts not arrange another carriage. Since the morning. As the sun rise the lotus flowers turned into the idol of Lord Ganesha. The king tried again & again but found himself unable to even move the idol from its place so the king established the idol there only.
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tilak | tika | माथे पर तिलक लगाने का महत्व | माथे पर टीका लगाने का महत्व | tilak on forehead
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cartoon | comedy jokes | pappu jokes | raju pappu jokes | santa banta jokes | cartoon jokes | jokes
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गोमती चक्र के अचूक उपाय || gomti chakra || अपने आप आयेगा धन होंगे मालामाल || गोमता चक्र के नुस्खे
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guptkashi | maluti temple | jharkhand guptkashi | मंदिरों का गाँव | गुप्तकाशी | झारखण्ड | Jharkhand tourism |
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इस मंदिर में होती है बुलेट कि पूजा | bullet temple | ये है ओम बन्ना का मंदिर | om banna temple
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tanot mata mandir jaisalmer | tanot rai mata mandir | yuddh wali devi | tanot mata temple | तनोट माँ
युद्ध वाली देवी - Tanot Mata Temple, Jaisalmer (Rajasthan): Know about temple on Indo-Pak border where none of the 3000 bombs explode thrown by Pakistani army in 1965.
Tanot Rai Mata Mandir 1200 years old , 120 km from Jaisalmer in the Thar desert near the India-Pakistan border. During1965 war Pakistan Army fired more than 3500 shells and not a single shell exploded or made any harm to the temple, unexploded shells are displayed within the temple . Indian Army and people from all over Rajasthan have faith that Tanot Mata protects the border from the enemy.
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दांत दर्द के घरेलु उपाय | remedies for tooth pain | ayurvedic treatments for teeth problems | दांत दर्द के आयुर्वेदिक नुस्खे
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Maningitis (hindi): its an infection can affects the human brain.
Meningitis is an inflammation (swelling) of the protective membranes covering the brain and spinal cord known as the meninges. This inflammation is usually caused by an infection of the fluid surrounding the brain and spinal cord.
Meningitis is usually caused by bacteria or viruses, but can be a result of injury, cancer, or certain drugs.
It is important to know the specific cause of meningitis because the treatment differs depending on the cause.
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dhola sadiya pull | dhola sadiya bridge | india's longest bridge | भारत का सबसे लंबा पुल
Construction began in 2011 under the aegis of the Ministry of Road Transport and Highways in public private partnership (PPP) with Navayuga Engineering Company Ltd. The bridge was scheduled to become operational from December 2015, but finish of construction works was delayed. The project cost around 10.00 billion rupees and will take around 4.5 years to complete. It is 3.55 kilometres (2.21 mi) longer than the Bandra Worli Sea Link in Mumbai making it the longest bridge in India.
The Dhola–Sadiya Bridge, scheduled to become operational in 2017, will be the longest bridge in India. It spans the Lohit River to connect the states of Assam and Arunachal Pradesh and is 9.15 kilometres (5.69 mi) in length.
The Construction expert team is led by Mr.B.Surya Raju Chief Project Manager, Navayuga Engineering Company Limited, Hyderabad. The project aims to construct a 12.9 metres (42 ft) wide external post tensioned bridge with 183 spans each of 50 metres (160 ft) along with a two lane connecting road from Dhola Bazaar to Islampur Tiniali. When completed, it will become the longest bridge above water in India.
The Longest Bridge in India – the ‘Dhola-Sadiya’ Bridge on the River Brahmaputra, Sadiya Ghat, the State of Assam, Incredible India.
Narendra Modi ने देश को समर्पित किया सबसे लंबा पुल Dhola Sadiya bridge
Dhola Sadiya bridge in Tinsukiya in Assam.
It is also known as bhupen hazarika setu.
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जानिए पनीर खाने के फ़ायदे | benefits of cheez | बनाएं पनीर से सेहत | cheez for good health
Healthy,health,herbs,fruits,vegetable,fibers,health benefits,fit,ill,sick,sickly,good,medicinal,remedy,home remedy,self help,self improvement,yoga,sport,weight loss,weight,supplements,water,fitness,well being,healing,doctor,illness,healing power,power,god,natural,home made,vitamin,help,cure,hearth,long live,live,care,aid,improve,help oneself,act,improvement,immune system,recovery,diseases,symptoms,diagnosis,treatment,toxins,radicals
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जानिए टॉप बॉलीवुड हीरोइनों के कमाई के आंकड़े || top bollywood heroine's salary || bollywood salary
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Top 10,Highest Paid Indian Film Actors,Highest Paid Bollywood Actors,Top 10 Highest Paid Indian Film Actors 2017,top 10 highest paid bollywood actors,bollywood,richest bollywood actors,top 10 highest paid south indian actors,highest paid south indian actors 2017,Onlytop10,richest south indian actor,Highet Paid Film Actors In India,Bollywood News,Entertainment

India's biggest kitchens || Top 5 Kitchens of india || India's Kitchens || भारत के सबसे बड़े रसोई
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patta gobhi || cabbage cooking in hindi || cabbage recipe in hindi || pattagobhi sabzi || cabbage indian recipe hindi
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jokes in hindi || hindi chutkule || jokes || hindi cartoon jokes || hindi cartoon || hindi animation
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ketone bodies || ketones || ketogenic diet || keto || ketone bodies level || WEDNESDAY'S WELLNESS
Ketone bodies are produced by the liver and used peripherally as an energy source when glucose is not readily available. The two main ketone bodies are acetoacetate (AcAc) and 3-beta-hydroxybutyrate (3HB), while acetone is the third, and least abundant, ketone body. Ketones are always present in the blood and their levels increase during fasting and prolonged exercise. They are also found in the blood of neonates and pregnant women. Diabetes is the most common pathological cause of elevated blood ketones.
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isro || indian nasa || indian space research organisation || india || increadible india
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summer makeup || makeup in summer || garmi ka makeup || makeup in garmi || makeup precautions
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brilliant child | see knowledge 4 year old child | children's general knowledge | unbelievable child | sharp memory power | children's sharpness | sharp memory of a child
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गढ़-पहरा की कहानी || विदिशा || vidisha || garhpehra || story of gadhpehra || ghost of gadhpehra
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Ulcerative colitis occurs when the lining of the large intestine (colon or bowel) and the rectum become inflamed. This inflammation produces tiny sores called ulcers on the lining of the colon. It usually begins in the rectum and spreads upward.The inflammation causes the bowel to move its contents rapidly and empty frequently. As cells on the surface of the lining of the bowel die, ulcers form. The ulcers may cause bleeding and discharge of mucus and pus.
This disease affects people of all ages. Symptoms tend to develop when people are between the ages of 15 and 30, or between the ages of 50 and 70.
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hanuman fatak kasba sehore || sehore mandir || sankatmochan hanuman || hanumanji darshan
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ये है भारत की की पांच सबसे अमीर बेटियाँ || top richest women of India || top successful women in India || female entrepreneur in India
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मरी माता नारायणी धाम || कांकड़खेड़ा दर्शन || kakadkheda sehore || माता के दर्शन || माँ का दरबार
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Madhya Pradesh (MP) is a state in central India. Its capital is Bhopal and the large cities are Indore & Jabalpur. Madhya Pradesh is the second-largest state in the country by area. With over 75 million inhabitants, it is the fifth-largest state in India by population. It borders the states of Uttar Pradesh to the northeast, Chhattisgarh to the southeast, Maharashtra to the south, Gujarat to the west, and Rajasthan to the northwest. Its total area is 308,252 km. Before 2000, when Chhattisgarh was a part of Madhya Pradesh, Madhya Pradesh was the largest state in India and the distance between the two furthest points inside the state, Singoli and Konta, was 1500 km.
The area covered by the present-day Madhya Pradesh includes the area of the ancient Avanti mahajanapada, whose capital Ujjain (also known as Avantika). After India's independence, Madhya Pradesh state was created with Nagpur as its capital: this state included the southern parts of the present-day Madhya Pradesh and northeastern portion of today's Maharashtra. In 1956, this state was reorganised and its parts were combined with the states of Madhya Bharat, Vindhya Pradesh and Bhopal to form the new Madhya Pradesh state, the Marathi-speaking Vidarbha region was removed and merged with the then Bombay State. This state was the largest in India by area until 2000, when its southeastern Chhattisgarh region was made a separate state.
Rich in mineral resources, MP has the largest reserves of diamond and copper in India. More than 30% of its area is under forest cover. Its tourism industry has seen considerable growth, with the state topping the National Tourism Awards in 2010–11.
Madhya Pradesh literally means "Central Province", and is located in the geographic heart of India, between latitude 21.2°N-26.87°N and longitude 74°02'-82°49' E. The state straddles the Narmada River, which runs east and west between the Vindhya and Satpura ranges; these ranges and the Narmada are the traditional boundary between the north and south of India. The highest point in Madhya Pradesh is Dhupgarh, with an elevation of 1,350 m (4,429 ft).
The state is bordered on the west by Gujarat, on the northwest by Rajasthan, on the northeast by Uttar Pradesh, on the east by Chhattisgarh, and on the south by Maharashtra.
The official language of the state is Hindi. In addition Marathi is spoken by a substantial number of the population since the state was home to several important and prestigious Maratha states. The state in fact has the highest concentration of Marathi people outside Maharashtra. Several regional variants are spoken, which are considered by some to be dialects of Hindi, and by others to be distinct but related languages. Among these dialects are Malvi in Malwa, Nimadi in Nimar, Bundeli in Bundelkhand, and Bagheli in Bagelkhand and the southeast. Each of these languages has dialects of its own. Other languages include Telugu, Bhilodi (Bhili), Gondi, Korku, Kalto (Nahali), and Nihali (Nahali), all spoken by tribal groups.
Four sites in Madhya Pradesh have been declared World Heritage Sites by UNESCO: the Khajuraho Group of Monuments (1986) including Devi Jagadambi temple, Khajuraho, Buddhist Monuments at Sanchi (1989) and the Rock Shelters of Bhimbetka (2003). Other architecturally significant or scenic sites include Ajaigarh, Amarkantak, Asirgarh, Bandhavgarh, Bawangaja, Bhopal, Vidisha, Chanderi, Chitrakuta, Dhar, Gwalior, Indore, Jabalpur, Burhanpur, Maheshwar, Mandleshwar, Mandu, Omkareshwar, Orchha, Pachmarhi, Shivpuri, Sonagiri, Mandla and Ujjain.
Madhya Pradesh is noted for its classical and folk music. Some of the noted Hindustani classical music gharanas in Madhya Pradesh include the Maihar gharana, the Gwalior gharana and Senia gharana. Two of the medieval India's most noted singers, Tansen and Baiju Bawra, were born near Gwalior in present-day Madhya Pradesh. Noted Dhrupad exponents Aminuddin Dagar (Indore), Gundecha Brothers (Ujjain) and Uday Bhawalkar (Ujjain) were also born in present-day Madhya Pradesh. The birthplaces of noted playback singers Kishore Kumar (Khandwa) and Lata Mangeshkar (Indore) and singer and composer Aadesh Shrivastava (Jabalpur) are also located in MP. The local styles of folk singing include Faga, Bhartahari, Sanja geet, Bhopa, Kalbelia, Bhat/Bhand/Charan, Vasdeva, Videsia, Kalgi Turra, Nirgunia, Alha, Pandwani Gayan and Garba Garbi Govalan.
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Piles are hemorrhoids that become inflamed. Hemorrhoids are masses, clumps, cushions of tissue in the anal canal - they are full of blood vessels, support tissue, muscle and elastic fibers.
Although hemorrhoids are thought of as unpleasant inflammations, we all have them.1 It is when the hemorrhoidal cushions become too big (inflamed) that problems occur - when this happens they are called piles or pathological hemorrhoids.
Piles can be of various sizes and may be internal (inside the anus) or external ones (outside the anus). Typically, internal piles occur from 2 to 4cm above the opening of the anus. External piles (perianal hematoma) occur on the outside edge of the anus. The internal ones are much more common.
According to the US National Institutes of Health (NIH), symptomatic hemorrhoids affect at least half the population at some time in their lives before the age of 50.
In the majority of cases, piles are effectively treated with over-the-counter medications, a good fluid intake, and by following a diet high in fiber. In severe cases, the piles may have to be surgically removed. About 10% of patients who go and see their doctor about piles eventually require surgical intervention.
In most cases piles are not serious and go away on their own after a few days.
An individual with piles may experience the following symptoms:
◾A hard lump may be felt around the anus. It consists of coagulated blood, called a thrombosed external hemorrhoid. This can be painful
◾After going to the toilet, a feeling that the bowels are still full
◾Bright red blood after a bowel movement
◾Itchiness around the anus
◾Mucus discharge when emptying the bowels
◾Pain while defecating
◾The area around the anus may be red and sore.
Internal hemorrhoids are classified into four grades:
◾Grade 1 - there are small inflammations, usually inside the lining of the anus. They are not visible
◾Grade 2 - larger than grade 1 hemorrhoids, but also inside the anus. When passing a stool, they may get pushed out, but return unaided
◾Grade 3 - often called 'prolapsed hemorrhoids'; these appear outside the anus. The patient may feel them hanging out. They can be pushed back in if the patient presses with their finger
◾Grade 4 - these cannot be pushed back in and need to be treated by a doctor. They are large and stay outside the anus all the time.
External hemorrhoids are called perianal hematoma. These are small lumps that are located on the outside edge of the anus. They are very itchy and can be painful if a blood clot forms inside (thrombosed external hemorrhoid). Thrombosed external hemorrhoid requires medical treatment straight away.
The blood vessels around the anus and in the rectum will stretch under pressure and may swell or bulge. Inflamed veins (hemorrhoids) can develop when pressure increases in the lower rectum. This may be due to:
◾Chronic constipation
◾Chronic diarrhea
◾Lifting heavy weights
◾Pregnancy
◾Straining when passing a stool.
The tendency to develop hemorrhoids may also be inherited. The risk of developing piles grows with age.
A doctor can usually diagnose piles after carrying out a physical examination, examining the patient's anus.
The doctor may ask the following questions:
◾Do any close relatives (parents, siblings) have piles?
◾Has there been any blood on the stools?
◾Has there been any mucus on the stools?
◾Has there been any recent weight loss?
◾Have bowel movements changed recently?
◾What color are the stools?
For internal hemorrhoids, the doctor may perform a digital rectal examination (DRE) or use a proctoscope - a hollow tube fitted with a light. The proctoscope allows the doctor to see the anal canal and take a small tissue sample from inside the rectum, which can be sent to the lab for analysis.
If the physician is presented with signs and symptoms which may suggest another digestive system disease, risk factors for colorectal cancer, and some other factors, he/she may recommend ordering an examination of the colon using colonoscopy.
In the majority of cases, piles resolve on their own without the need for any treatment. Treatments can help significantly reduce the discomfort and itching that many patients experience.
A good doctor will initially recommend some lifestyle changes.
Diet - piles can be caused by too much straining when doing bowel movements, which is the result of constipation. A change in diet can help keep the stools regular and soft. This involves eating more fiber, such as fruit and vegetables, or switching your cereal breakfast to bran.
Water is the best drink, and the patient may be advised to increase his/her water consumption. Some experts say too much caffeine is not good.
Body weight - if the patient is obese, losing weight may help reduce the incidence and severity of hemorrhoids.
Simple things you can do yourself to help prevent piles:
◾Try not to strain when you go to the toilet
◾Avoid laxatives
◾Exercise.

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Community pharmacists are the health professionals most accessible to the public. They supply medicines in accordance with a prescription or, when legally permitted, sell them without a prescription. In addition to ensuring an accurate supply of appropriate products, their professional activities also cover counselling of patients at the time of dispensing of prescription and non-prescription drugs, drug information to health professionals, patients and the general public, and participation in health-promotion programmes. They maintain links with other health professionals in primary health care.